By James R. O'Dell, Josef S. Smolen (auth.), John H. Stone (eds.)

A Clinician's Pearls and Myths in Rheumatology is a wealthy assemblage of the medical knowledge of specialist rheumatologists from an entire variety of specialties and nationalities. It examines the nuggets of knowledge, or ‘pearls’ won from collective scientific event concerning the analysis or therapy of varied ailments while additionally aiming to debunk convinced myths that experience motivated the perform of many clinicians yet have confirmed false.

The pithy variety of writing guarantees that the reader completely enjoys delving into this trove of diagnostic and healing information. furthermore, an abundance of illustrations, together with three hundred scientific photos, considerably augments the reader’s figuring out of those ‘pearls’.

With contributions from 126 authors around the quite a few subspecialties in rheumatology, and comprising a complete of greater than 1400 Pearls and Myths, this booklet actually offers the corpus of present scientific knowledge in rheumatology.

Dr John H. Stone, MD MPH is medical Director of Rheumatology at Massachusetts common health facility, Boston, MA. He has pioneered loads of scientific learn in rheumatology, relatively within the region of systemic vasculitis.

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Example text

AOSD closely resembles systemic-onset juvenile idiopathic arthritis, a pediatric disorder known originally as Still’s disease. An intensely inflammatory, multiorgan system disorder characterized by a polyarthritis, high spiking fevers, and an evanescent, salmon-colored rash (Figs. 1a–c). The rash is described as small macules that disappear during the night but reappear the next day, usually coincident with a fever spike. Peripheral joint involvement can be fleeting but also may settle into a refractory, destructive arthritis marked by a tendency in some joints for fusion.

John Stone) 2 Rheumatoid Vasculitis Reality: Cases of coronary vasculitis are well-documented in the medical literature (Sokoloff 1953; Cruikschank 1954; Johnson et al. 1969). However, myocardial infarction as a direct result of coronary arteritis in RV is unusual (Van Albada-Kuipers et al. 1986). Clinically manifest coronary vasculitis is likely to occur only in RA patients with clearcut evidence of vasculitis in other organ systems. Despite the rarity of true coronary vasculitis in RV, one of the most important determinants of the increased mortality in RA patients is an elevated risk of cardiovascular disease.

Stone and E. L. Matteson a b c Fig. 8 Patch sewn over a perforated cornea that resulted from rheumatoid vasculitis and the corneal melt syndrome. The patient is blind in this eye, but may benefit in the future from a corneal transplant. (Figure courtesy of Dr. John Stone) Comment: Two terms rheumatologists must know in order to converse with their ophthalmology colleagues and avoid ocular disasters are PUK (an acronym for peripheral ulcerative keratitis, generally spelled out: “P – U – K”), and its potential consequence, corneal melt.

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